Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.44 / $2,179.83 / $8,155.92	Facility		$141.44	$2,179.83	$8,155.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.79 / $154.15 / $350.97	Professional		$93.79	$154.15	$350.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.41 / $151.02 / $225.86	Professional		$97.41	$151.02	$225.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $88.00 / $974.00	Professional		$88.00	$88.00	$974.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.10 / $172.10 / $172.10	Facility		$172.10	$172.10	$172.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.91 / $187.25 / $293.61	Professional		$106.91	$187.25	$293.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.01 / $186.97 / $222.59	Professional		$168.01	$186.97	$222.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.44 / $151.00 / $269.41	Facility		$94.44	$151.00	$269.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $239.84 / $371.45	Professional		$189.00	$239.84	$371.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $104.20 / $184.12 / $1,082.00	Facility		$104.20	$184.12	$1,082.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $152.62 / $239.85 / $1,082.00	Professional		$152.62	$239.85	$1,082.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.40 / $173.94 / $297.77	Professional		$135.40	$173.94	$297.77